Assessing Outcomes of Tinnitus Intervention

Newman, Craig W.; Sandridge, Sharon A.; Jacobson, Gary P.

doi:10.3766/jaaa.25.1.6

Cited by 52 publications

(78 citation statements)

References 90 publications

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“…Although tinnitus signal intensity is a critical clinical parameter, no consensus has emerged as to how this should be defined. An absolute measure of loudness, or such an absolute measure minus the ipsilateral or contralateral hearing threshold, is too subjective, as previously reported [3]. In previous reports, treatment outcomes of chronic subjective tinnitus patients have usually been evaluated only via self-reporting questionnaires.…”

Section: Discussionmentioning

confidence: 96%

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Combination of gaps in noise detection and visual analog scale for measuring tinnitus components in patients treated with repetitive transcranial magnetic stimulation

Wang

et al. 2016

Auris Nasus Larynx

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Section: Discussionmentioning

confidence: 96%

“…Accordingly, tinnitus has two major components; these are phantom sound perception and the emotional reaction thereto. Clinical measurement of tinnitus often seeks to address both components [3].…”

Section: Introductionmentioning

confidence: 99%

Combination of gaps in noise detection and visual analog scale for measuring tinnitus components in patients treated with repetitive transcranial magnetic stimulation

Wang

et al. 2016

Auris Nasus Larynx

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“…For these studies, research participants were administered the THS twice over a period of several weeks providing data to evaluate the stability of the THS through test-retest reliability (Newman, Sandridge, & Jacobson, 2014). Administration of the two tests for each participant was intended to be 1-4 weeks apart, with no tinnitus intervention occurring during this interval (each of these studies involved tinnitus assessment only).…”

Section: Sources Of Ths Test-retest Reliability Datamentioning

confidence: 99%

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

et al. 2015

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Purpose: Individuals complaining of tinnitus often attribute hearing problems to the tinnitus. In such cases some (or all) of their reported "tinnitus distress" may in fact be caused by trouble communicating due to hearing problems. We developed the Tinnitus and Hearing Survey (THS) as a tool to rapidly differentiate hearing problems from tinnitus problems. Method: For 2 of our research studies, we administered the THS twice (mean of 16.5 days between tests) to 67 participants who did not receive intervention. These data allow for measures of statistical validation of the THS. Results: Reliability of the THS was good to excellent regarding internal consistency (a = .86-.94), test-retest reliability (r = .76-.83), and convergent validity between the Tinnitus Handicap Inventory (Newman, Jacobson, & Spitzer, 1996;Newman, Sandridge, & Jacobson, 1998) and the A (Tinnitus) subscale of the THS (r = .78). Factor analysis confirmed that the 2 subscales, A (Tinnitus) and B (Hearing), have strong internal structure, explaining 71.7% of the total variance, and low correlation with each other (r = .46), resulting in a small amount of shared variance (21%). Conclusion: These results provide evidence that the THS is statistically validated and reliable for use in assisting patients and clinicians in quickly (and collaboratively) determining whether intervention for tinnitus is appropriate.T innitus has been defined as head or ear noise lasting at least 5 min and occurring more than once a week (Dauman & Tyler, 1992). For most people who have tinnitus, the sound is constant or near-constant. Epidemiologic studies reveal that tinnitus is experienced by 10%-15% of the adult populations in different countries (Heller, 2003;Hoffman & Reed, 2004;Shargorodsky, Curhan, & Farwell, 2010). It is often reported that for about 80% of those who experience tinnitus, the tinnitus is not particularly bothersome, and clinical intervention for the tinnitus is not required (Cima, Vlaeyen, Maes, Joore, & Anteunis, 2011; Davis & Refaie, 2000;Jastreboff & Hazell, 1998;Krog, Engdahl, & Tambs, 2010). When intervention for tinnitus is desired by, and appropriate for, a given patient, the amount of intervention provided should depend on the individual's specific needs Tyler & Baker, 1983).Dobie's (2004) multilevel pyramid analogy is helpful in conceptualizing how tinnitus affects people differently (see Figure 1). The base of the pyramid contains those who have tinnitus but are not bothered by it. The next higher level contains people whose tinnitus is "bothersome," ranging from "mild" to "moderate" to "severe." The tip of the pyramid contains those relatively few individuals who are "debilitated" by their tinnitus. This pyramid analogy highlights the fact that most people who experience tinnitus do not need clinical intervention specific to the tinnitus. Those who do differ widely with respect to their clinical needs, ranging from answering a few questions (e.g., they want assurance that their tinnitus does not reflect some serious disease) to providin...

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“…It is estimated that tinnitus will become chronic and severely affect the quality of life in 1%–3% of the general population [2]. About 20% of adults that experience tinnitus will require clinical intervention [3]. Tinnitus can occur constantly or intermittently in one or both ears or centrally in the head and can be perceived as coming from within the head.…”

Section: Introductionmentioning

confidence: 99%

Factor Analysis of Low-Frequency Repetitive Transcranial Magnetic Stimulation to the Temporoparietal Junction for Tinnitus

Wang

et al. 2016

Neural Plasticity

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Objectives. We investigated factors that contribute to suppression of tinnitus after repetitive transcranial magnetic stimulation (rTMS). Methods. A total of 289 patients with tinnitus underwent active 1 Hz rTMS in the left temporoparietal region. A visual analog scale (VAS) was used to assess tinnitus loudness. All participants were interviewed regarding age, gender, tinnitus duration, laterality and pitch, audiometric parameters, sleep, and so forth. The resting motor thresholds (RMTs) were measured in all patients and 30 age- and gender-matched volunteers. Results. With respect to different factors that contribute to tinnitus suppression, we found improvement in the following domains: shorter duration, normal hearing (OR: 3.25, 95%CI: 2.01–5.27, p = 0.001), and without sleep disturbance (OR: 2.51, 95%CI: 1.56–4.1, p = 0.005) adjusted for age and gender. The patients with tinnitus lasting less than 1 year were more likely to show suppression of tinnitus (OR: 2.77, 95%CI: 1.48–5.19, p = 0.002) compared to those with tinnitus lasting more than 5 years. Tinnitus patients had significantly lower RMTs compared with healthy volunteers. Conclusion. Active low-frequency rTMS results in a significant reduction in the loudness of tinnitus. Significant tinnitus suppression was shown in subjects with shorter tinnitus duration, with normal hearing, and without sleep disturbance.

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Assessing Outcomes of Tinnitus Intervention

Cited by 52 publications

References 90 publications

Combination of gaps in noise detection and visual analog scale for measuring tinnitus components in patients treated with repetitive transcranial magnetic stimulation

Combination of gaps in noise detection and visual analog scale for measuring tinnitus components in patients treated with repetitive transcranial magnetic stimulation

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

Factor Analysis of Low-Frequency Repetitive Transcranial Magnetic Stimulation to the Temporoparietal Junction for Tinnitus

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